Displaying 152401-152410 of 1611142 results.
ID:
152401
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
882548
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152402
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152403
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152404
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152405
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152406
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
857683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152407
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152408
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152409
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
857677
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152410
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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